Patient Outcomes when Housestaff Exceed 80 Hours per Week

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Presentation transcript:

Patient Outcomes when Housestaff Exceed 80 Hours per Week David Ouyang, MD, Jonathan H. Chen, MD, PhD, Gomathi Krishnan, PhD, Jason Hom, MD, Ronald Witteles, MD, Jeffrey Chi, MD The American Journal of Medicine Volume 129, Issue 9, Pages 993-999.e1 (September 2016) DOI: 10.1016/j.amjmed.2016.03.023 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 (A) Housestaff worked more than 80 hours per week in 21.3% of calculated weeks. There was no relationship between time to start of residency year and proportion of residents working more than 80 hours per week (P = .740). (B) 40.9% of patients were taken care of by housestaff that had worked more than 80 hours that week. The American Journal of Medicine 2016 129, 993-999.e1DOI: (10.1016/j.amjmed.2016.03.023) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 (A) There is an increase in the daily hours worked by housestaff as team census increases (P < .001). (B) There is an increase in the number of computer sessions by housestaff as team census increases (P < .001). (C) There is an increase in the number of electronic actions by housestaff as team census increases (P < .001). The American Journal of Medicine 2016 129, 993-999.e1DOI: (10.1016/j.amjmed.2016.03.023) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 (A) Distribution of admission team census. (B) Proportion of in-hospital mortality by admission team census. (C) Proportion of intensive care unit (ICU) transfers. (D) Proportion of subsequent 30-day readmissions by admission team census. The American Journal of Medicine 2016 129, 993-999.e1DOI: (10.1016/j.amjmed.2016.03.023) Copyright © 2016 Elsevier Inc. Terms and Conditions